Tihesa Mack, LMSW,ACSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801086122 Issued in MI

Practice address

2425 S Linden Rd Ste D138
Flint, MI 48532-5482

Phone

(810) 644-2128

NPI assigned

Aug 4, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tihesa Chisolm Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathway to Light Counseling Services, LLC

  • Clinical Social Worker
  • Flint, MI
  • NPI 1720733306
  Medicare reassignment NPD Authorized official
• Inner Faith Counseling Center, LLC

  • Clinical Social Worker
  • Flint, MI
  • NPI 1659932481
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1174932255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484730314",
            "telephone_number": "810-644-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 S LINDEN RD STE D138",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325482",
            "telephone_number": "810-644-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "TIHESA",
        "credential": "LMSW,ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801086122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIHESA",
            "last_name": "CHISOLM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Avery Machuk
• Laura Elena Macias-Brown I, LMSW
• Kaniah Iesha Mack
• Mylee Mack, LMSW
• Stephanie Lyn Mack
• Amy M Mackie, NURSE PRACTITIONER
• Niketa Macklin
• Michael J Macksood, D.O.
• Macular Renewal Center PLLC
• Jim Madany, D.D.S.

• Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.